Senior Client Partner Consultant, DentaQuest

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.

Job Description:

Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work.

The opportunity: The Senior Client Partner Consultant manages contract deliverables, including compliance reporting, financial reporting, and service-level performance reporting. Also, the role ensures effective coordination and communication of client requests to satisfy client expectations.

How you will contribute:

• Handles ongoing, effective communications and service to current clients via on-site meetings, conference calls, and day-to-day interaction.
• Provide primary support to leadership for administration of the client’s program, and communicate information accurately and efficiently, to ensure that DQ is meeting and exceeding client expectations, and the terms of the RFR and contract.
• Proactively identify client expectations, communicate expectations to management and staff, and ensure expectations are delivered effectively. Proactively resolve issues and strengthen relationships at various professional levels within the client’s organization.
• Handles coordination and serves as primary point of contact for client audits of programs to include coordination of documentation requests, meeting organization, and responding to auditor follow-up requests.
• Develop and maintain relationships with appropriate functional areas to ensure effective contract performance.
• Aid innovative business practices and process improvement opportunities for current and prospective clients (e.g., P4Q, QARR, ER Diversion).
• Monitor changes in regulations and fee schedules and communicate same to ensure compliance with state and federal guidelines.
• Perform functions that provide timely and accurate reporting to clients.
• Ensure Office Reference Manuals are kept up to date, corrective action plans are implemented, and client audits are organized effectively.
• Develops and submits IODs based on CMS, market- or client-specific program requirements.
• Manages the process for obtaining program requirements, documentation, support, and other special requests from clients, providers, and other organizations.
• Determination and implementation of performance and wage evaluations, performance improvement plans, disciplinary processes, and terminations for local staff, per company policy.
• Provides regular updates to senior management on internal and external issues affecting market performance.
• Represent the company at health fairs, conferences, and advisory meetings throughout the State.
• Other duties as assigned.

What you will bring with you:

• Bachelor’s degree in business, Healthcare Administration (or related field), or equivalent, relevant work experience.
• Five years experience working with external clients/customers; proven track record of providing excellent service to internal and external customers.
• Two years experience in a supervisory role.
• Well-organized and exceptional organizational, written, and oral communication skills, particularly presentation skills.
• Knowledge of group benefits. Proven ability to provide consultative services to proactively meet customer needs, using management reports, offering training opportunities, and recommending innovative solutions.
• Ability to work independently and as part of a team.
• Proficient with general computer software including Microsoft Excel, Word, and Outlook.
• Proven problem-solving skills.
• Ability to make good judgment conclusions based on data available with minimal supervision.
• Ability to prioritize and organize multiple tasks with tight deadlines.
• Excellent customer service skills.
• Up to 50% local travel required

PHYSICAL DEMANDS:

• Ability to